Wrinkles are much worse on upper and lower cheek and skin feels very crepey after Botox and Restylane. (Photo)

Question

Please help! I got restalyne injected into tear troughs and Botox for crows feet on Wed evening. It is now Fri evening. Crows feet were very minimal to begin with. I’m now seeing wrinkles that are much worse on upper and lower cheek and skin feels very creepy. Is this some kind of side effect?? I can’t find out anything g about online. Even my husband so doesn’t notice anything noticed!!

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

It takes 1-2 weeks for final results. If you're unhappy with your final results with filler, you can have it reversed with hyaluronidase and try a different technique next time. Venus legacy treatments can soften Botox results. See an expert. Best, Dr. Emer

Monika Soni, MD · Answer

Thank you for your question. It is too early to determine your results with Botox as it takes up to 2 weeks to see final results. If you are unhappy with your Restylane results it can be dissolved with hyaluronidase. I advise you to follow up with your injector after 2 weeks for an evaluation and to discuss any concerns you may have. Best of Luck!

Sunny Park, MD, MPH · Answer

It takes 1-2 weeks to see the effects of Botox.  I would recommend waiting until 2 weeks to see the final results.  Following up with your injector will be good to discuss any concerns you might have.

Melvin Elson, MD · Answer

2 days is not long enough for Botox to even start working so give it at least another week but the result from Restylane should be evident immediately. see your doctor after a week has passed and discuss your conerns

Wrinkles are much worse on upper and lower cheek and skin feels very crepey after Botox and Restylane. (Photo)

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Answer: Botox and restylane

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Answer: Appearance 2 days after Restylane and Botox

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Wrinkles are much worse on upper and lower cheek and skin feels very crepey after Botox and Restylane. (Photo)

Answers (5)

Answer: Botox and restylane

Answer: Botox and restylane

Answer: Appearance 2 days after Restylane and Botox

Answer: Appearance 2 days after Restylane and Botox

Browse related questions

Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.